Individual
MRS. BETHANY NICOLE CHANDONAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
43521 KIPLINGTON SQ, CHANTILLY, VA 20152-3602
(586) 404-6284
Mailing address
43521 KIPLINGTON SQ, CHANTILLY, VA 20152-3602
(586) 404-6284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008130
VA
Other
Enumeration date
05/28/2008
Last updated
09/20/2021
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